| NPI | 1487048781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 51439) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01079094A) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2018-10-02 |